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Seminars in Plastic Surgery最新文献

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Computerized Surgical Planning. 计算机化手术规划。
IF 2.3 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-08-07 eCollection Date: 2024-08-01 DOI: 10.1055/s-0044-1786985
Michael Alperovich
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引用次数: 0
Computer-Assisted Surgery in Mandible Reconstruction 下颌骨重建中的计算机辅助手术
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-05-27 DOI: 10.1055/s-0044-1786805
Farooq Shahzad
{"title":"Computer-Assisted Surgery in Mandible Reconstruction","authors":"Farooq Shahzad","doi":"10.1055/s-0044-1786805","DOIUrl":"https://doi.org/10.1055/s-0044-1786805","url":null,"abstract":"<p>Computer-assisted surgery is the most significant recent advancement in osseous head and neck reconstruction. Computer-aided design (CAD) software allows computerized planning of resection and reconstruction. Computer-aided manufacturing (CAM) can be used to create models, cutting guides, and patient-specific plates. Several studies have shown that these techniques are more accurate and result in decreased flap ischemia times compared with conventional techniques. CAD also facilitates the immediate placement of dental implants. The most useful application of computer-assisted surgery is delayed reconstruction, in which soft tissue contraction and the absence of a specimen as a reference make accurate estimation of the defect challenging. The drawbacks of CAD/CAM are lack of intraoperative flexibility and cost. Some centers have created in-house CAD/CAM processes using open-source software and commercially available three-dimensional printers.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141167448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Computerized Surgical Planning in Face Transplantation 计算机化面部移植手术规划
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-05-27 DOI: 10.1055/s-0044-1786991
Alay Shah, Sachin Chinta, Eduardo D. Rodriguez
{"title":"Computerized Surgical Planning in Face Transplantation","authors":"Alay Shah, Sachin Chinta, Eduardo D. Rodriguez","doi":"10.1055/s-0044-1786991","DOIUrl":"https://doi.org/10.1055/s-0044-1786991","url":null,"abstract":"<p>Face transplantation (FT) has emerged as a critical intervention for patients with complex facial deformities unsuitable for conventional reconstructive methods. It aims to restore essential functions such as facial expression, mastication, and speech, while also improving psychosocial health. The procedure utilizes various surgical principles, addressing unique challenges of craniofacial complexity and diverse injury patterns. The integration of Computerized Surgical Planning (CSP) leverages computer-aided technologies to enhance preoperative strategy, intraoperative navigation, and postoperative assessment. CSP utilizes three-dimensional computed tomography, printing, angiography, and navigation systems, enabling surgeons to anticipate challenges and reduce intraoperative trial and error. Through four clinical cases, including a groundbreaking combined face and bilateral hand transplant, CSP's role in FT is highlighted by its ability to streamline operative processes and minimize surgical revisions. The adoption of CSP has led to fewer cadaveric rehearsals, heightened operative precision, and greater alignment with preoperative plans. Despite CSP's advancements, it remains complementary to, rather than a replacement for, clinical expertise. The demand for technological resources and multidisciplinary teamwork is high, but the improved surgical outcomes and patient quality of life affirm CSP's value in FT. The technology has become a staple in reconstructive surgery, signaling a step forward in the evolution of complex surgical interventions.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141167513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Michael Alperovich, MD 迈克尔-阿尔佩罗维奇，医学博士
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-05-23 DOI: 10.1055/s-0044-1786806
Edward P. Buchanan
{"title":"Michael Alperovich, MD","authors":"Edward P. Buchanan","doi":"10.1055/s-0044-1786806","DOIUrl":"https://doi.org/10.1055/s-0044-1786806","url":null,"abstract":"","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141107016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Practical Considerations in Computerized Surgical Planning for Frontofacial Surgery 前颌面外科计算机化手术规划的实用考虑因素
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-05-23 DOI: 10.1055/s-0044-1786802
Mario Blondin, Blake Dunson, Christopher M. Runyan
{"title":"Practical Considerations in Computerized Surgical Planning for Frontofacial Surgery","authors":"Mario Blondin, Blake Dunson, Christopher M. Runyan","doi":"10.1055/s-0044-1786802","DOIUrl":"https://doi.org/10.1055/s-0044-1786802","url":null,"abstract":"The field of frontofacial surgery has advanced considerably, building on the pioneering techniques of Paul Tessier, with computerized surgical planning (CSP) emerging as a critical component. CSP has enhanced the precision and efficiency of surgeries for craniofacial dysostoses and hypertelorism, resulting in improved outcomes. This review delves into the importance of understanding orbital anatomy and the crucial bony and soft tissue landmarks essential to the application of CSP in frontofacial procedures, encompassing Le Fort III and monobloc advancements, as well as the correction of hypertelorism.","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141106829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Neuroplastic Surgery Principles of Computerized Surgical Planning in Complex Cranioplasty Reconstruction 神经整形外科 复杂颅骨整形重建中的计算机化手术规划原则
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-05-23 DOI: 10.1055/s-0044-1786759
Colleen F. Perez, Chad R. Gordon
{"title":"Neuroplastic Surgery Principles of Computerized Surgical Planning in Complex Cranioplasty Reconstruction","authors":"Colleen F. Perez, Chad R. Gordon","doi":"10.1055/s-0044-1786759","DOIUrl":"https://doi.org/10.1055/s-0044-1786759","url":null,"abstract":"This article explores the evolution and implementation of three-dimensional (3D) models and Computerized Surgical Planning (CSP) for complex cranioplasty reconstruction and the advances in neuroplastic surgery principles for improved surgical outcomes. Over recent years, CSP has revolutionized the field by employing detailed medical imaging to enhance the accuracy and efficacy of 3D models and for the creation of customized cranial implants (CCIs). The study discusses the advancements of solid alloplastic implants to the future of implants with sophisticated and integrated neurotechnology to treat or enhance patient outcomes. CSP can be used to identify and mitigate complications that can occur within cranioplasty reconstruction and to create CCIs to address the postoperative challenge of temporal hollowing. Despite the promising advancements, the article acknowledges the current limitations of CSP, including cost and technological accessibility, and proposes future directions for research and development. The findings suggest that with further improvements in imaging, biomaterials, and manufacturing techniques, CSP in neuroplastic surgery and other specialties will continue to significantly enhance the precision and personalized care of cranioplasty reconstruction.","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141107411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Jong O. Lee, MD, FACS, FCCM, FABA. Jong O. Lee, MD, FACS, FCCM, FABA.
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-05-13 eCollection Date: 2024-05-01 DOI: 10.1055/s-0044-1786010
Edward P Buchanan
{"title":"Jong O. Lee, MD, FACS, FCCM, FABA.","authors":"Edward P Buchanan","doi":"10.1055/s-0044-1786010","DOIUrl":"https://doi.org/10.1055/s-0044-1786010","url":null,"abstract":"","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11090647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Computerized Surgical Planning for Mandibular Distraction Osteogenesis 下颌骨牵引成骨的计算机化手术规划
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-05-13 DOI: 10.1055/s-0044-1786757
Kevin G. Hu, Ali Aral, Albert Rancu, Michael Alperovich
{"title":"Computerized Surgical Planning for Mandibular Distraction Osteogenesis","authors":"Kevin G. Hu, Ali Aral, Albert Rancu, Michael Alperovich","doi":"10.1055/s-0044-1786757","DOIUrl":"https://doi.org/10.1055/s-0044-1786757","url":null,"abstract":"<p>Mandibular distraction osteogenesis is a technically challenging procedure due to complex mandibular anatomy, especially in the treatment of Pierre-Robin Sequence due to variable bone thickness in the infant mandible and the presence of tooth buds. Computerized surgical planning (CSP) simplifies the procedure by preoperatively visualizing critical structures, producing cutting guides, and planning distractor placement. This paper describes the process of using CSP to plan mandibular distraction osteogenesis, including discussion of recent advances in the use of custom distractors.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140926972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Burn Care. 小儿烧伤护理。
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-05-13 eCollection Date: 2024-05-01 DOI: 10.1055/s-0044-1786011
Jong O Lee
{"title":"Pediatric Burn Care.","authors":"Jong O Lee","doi":"10.1055/s-0044-1786011","DOIUrl":"https://doi.org/10.1055/s-0044-1786011","url":null,"abstract":"","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11090649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of Computerized Surgical Planning in Craniosynostosis Surgery 计算机化手术规划在颅颧骨整形手术中的应用
IF 2 3区 医学
Seminars in Plastic Surgery Pub Date : 2024-05-13 DOI: 10.1055/s-0044-1786803
Neil Parikh, Ali Aral, Katelyn Lewis, Michael Alperovich
{"title":"Application of Computerized Surgical Planning in Craniosynostosis Surgery","authors":"Neil Parikh, Ali Aral, Katelyn Lewis, Michael Alperovich","doi":"10.1055/s-0044-1786803","DOIUrl":"https://doi.org/10.1055/s-0044-1786803","url":null,"abstract":"<p>Craniosynostosis, a medical condition characterized by premature fusion of one or multiple cranial sutures, has historically been treated through surgical correction. Computerized Surgical Planning (CSP) and three-dimensional (3D) modeling have gained significant popularity across craniofacial surgery. Through a collaborative effort between surgeons and engineers, it is now possible to virtually execute a surgical plan based on preoperative imaging using computed tomography scans. The CSP workflow involves several elements including virtual 3D modeling, CSP computer-aided surgical guide design, manufacturing of guides and templates, and intraoperative implementation. Through the gradual optimization of this workflow, it has been possible to achieve significant progress in the surgical process including improvements in the preoperative planning of complex craniosynostosis cases and reduction of intraoperative time. Furthermore, CSP and 3D modeling have had a positive impact on surgical simulation and residency training, along with patient education and counseling. This article summarizes the CSP workflow in the treatment of craniosynostosis and the implications of this treatment modality on medical trainee education and patient management.</p> ","PeriodicalId":48687,"journal":{"name":"Seminars in Plastic Surgery","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140927368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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